Dale W Blaise, MD
NPI #1770557472 in Murphysboro, Illinois
Provider Information
- NPI Number
- 1770557472
- Entity Type
- Individual
- Name
- Dale W Blaise, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Feb 17, 2006
- Last Updated
- Aug 24, 2022
Practice Location
- Address
- 19 E SHAWNEE DR STE 2
- City
- Murphysboro
- State
- Illinois
- ZIP Code
- 62966-7072
- Phone
- (618) 684-2172
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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